183 research outputs found

    The First Year Out: Understanding American Teens After High School

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    Modelos de representação literária e realidade social nos relatos alemães sobre Portugal em meados do século XIX

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    pp. 167-186Que a «vaidade» seja um dos traços mais salientes do caracter nacional português é o que pretende uma grande parte dos viajantes estrangeiros quando, nos séculos XVIII e XIX, escrevem sobre Portugal. Um escritor silesiano, que conhece pelo menos alguns destes autores, afirma, porém, não chegarem ainda tais defeitos como «justificação para vários juízos injustos e desculpa para muitas representações ofensivas que se deram, umas quantas vezes, a partir unicamente duma visão superficial e duma apreciação insuficiente sobre o povo português

    Junior Recital: Brandon Boone, double bass

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    This recital is presented in partial fulfillment of requirements for the degree Bachelor of Music in Performance. Mr. Boone studies double bass with Marc Miller.https://digitalcommons.kennesaw.edu/musicprograms/1052/thumbnail.jp

    Junior Recital: Jonathan Pace, jazz percussion

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    This recital is presented in partial fulfillment of requirements for the degree Bachelor of Music in Performance. Mr. Pace studies jazz percussion with Justin Chesarek.https://digitalcommons.kennesaw.edu/musicprograms/1802/thumbnail.jp

    Senior Recital: Stacey Novik, jazz trumpet

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    This recital is presented in partial fulfillment of requirements for the degree Bachelor of Music in Performance. Ms. Novik studies jazz trumpet with Rob Opitz.https://digitalcommons.kennesaw.edu/musicprograms/1942/thumbnail.jp

    Prenatal diagnosis of congenital diaphragmatic hernia not amenable to prenatal or neonatal repair: Brachmann-de Lange syndrome

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    Brachmann-de Lange syndrome (BDLS) is a variable multiple congenital anomaly syndrome that occasionally includes congenital diaphragmatic hernia (CDH). CDH per se is commonly diagnosed antenatally and has been corrected with increasing success in utero and by neonatal repair with extracorporeal membrane oxygenation (ECMO). In utero repair requires normal karyotype as well as the absence of other lethal anomalies. Postnatal repair in combination with ECMO has resulted in improved neonatal outcome and has been recommended in all cases not having in utero repair. We describe a fetus diagnosed with a diaphragmatic hernia at 18 weeks of gestation in a woman whose only other pregnancy has been a 16 week abortus diagnosed with Fryns syndrome (FS). FS is a lethal, variable congenital anomaly syndrome that includes CDH, which is thought to contribute to the lethality of the syndrome. In utero repair was considered, but rejected because of the position of the liver and suspected FS. The Patients elected to carry the pregnancy to term. Postnatal repair with ECMO was considered; however, the infant died at several hours of age because of severe pulmonary hypoplasia, being considered ineligible for ECMO. The diagnosis of BDLS was made at autopsy and suggests that the first case may, in fact, have been BDLS. In spite of recent success in the repair of CDH both in et ex utero, CDH in association with BDLS is likely lethal, and women with fetuses diagnosed antenatally with CDH and BDLS should be counseled as such. © 1993 Wiley-Liss, Inc.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/38260/1/1320470717_ftp.pd

    Influencia de la redación de la prescripción médica en la administración de medicamentos en horarios diferentes al prescripto

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    OBJETIVO: Analisar a influência da redação da prescrição médica na administração de medicamentos em horários diferentes do prescrito ocorridas em unidades de clínica médica de cinco hospitais brasileiros. MÉTODOS: Trata-se de estudo descritivo que utilizou dados secundários obtidos de uma pesquisa multicêntrica realizada em 2005. A amostra foi composta por 1084 doses de medicamentos administradas em horários diferentes do prescrito. RESULTADOS: Do total analisado, 96,2% apresentavam siglas e/ou abreviaturas; 7,8% apresentavam o registro do horário de administração incompleto e 4,8% destes registros estavam rasurados. Ainda, faltou o horário e/ou a freqüência de administração em 1,9% das prescrições. CONCLUSÃO: Com a implantação do sistema computadorizado de prescrições, associada à prática da educação permanente será possível minimizar a administração de medicamentos em horários diferentes do prescrito.OBJECTIVE: To evaluate the influence of the writing of medical orders on the administration of medications in medical units from five brazilian hospitals. METHODS: This descriptive study used a secondary analysis of data from a multicenter study conducted in 2005. the sample consisted of 1,084 medication orders that had been administered at the wrong schedule time. RESULTS: The great majority of medical orders (96.2%) had acronyms and/or abbreviations, 7.8% of them had incomplete schedules for administration of the medication, and 4.8% had been marked out. in addition, there was no schedule for the administration of the medication in 1.9% of the medical orders. CONCLUSION: Implementation of electronic prescribing and continuing education of health care providers can minimize the administration of medication at the wrong schedule time.OBJETIVO: Analizar la influencia de la redacción de la prescripción médica en la administración de medicamentos en horarios diferentes al prescripto ocurridas en unidades de clínica médica de cinco hospitales brasileños. MÉTODOS: Se trata de un estudio descriptivo que utilizó datos secundarios obtenidos de una investigación multicéntrica realizada en el 2005. La muestra estuvo compuesta por 1084 dosis de medicamentos administradas en horarios diferentes al prescripto. RESULTADOS: Del total analizado, el 96,2% presentaba siglas y/o abreviaturas; el 7,8% presentaba el registro del horario de administración incompleto y el 4,8% de estos registros estaban borrados. Aun más, faltó el horario y/o la frecuencia de administración en el 1,9% de las prescripciones. CONCLUSIÓN: Con la implantación del sistema computarizado de prescripciones, asociada a la práctica de la educación permanente será posible minimizar la administración de medicamentos en horarios diferentes al prescripto

    Cirugía de tromboendarterectomía pulmonar en un paciente con hipertensión pulmonar tromboembólica crónica

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    We present the clinical case of a 31-year-old male patient with a chronic thromboembolic pulmonary hypertension diagnosis. This case shows the fundamental role of cardiac imaging for diagnosis and the positive clinical and imaging evolution after pulmonary thromboendarterectomy surgery.Se presenta el caso clínico de un varón, de 31 años, con diagnóstico de hipertensión pulmonar tromboembólica crónica. El caso muestra el rol fundamental de la multiimagen cardíaca en el diagnóstico y la buena respuesta clínica y de imagen a la cirugía de tromboendarterectomía pulmona
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